Pouch colon malformation: Case report Kolonik pos anomalisi: Olgu sunumu

Abstract

Three patients with pouch colon malformation were treated surgically between 1995 and 1997. Babies presented with abdominal distention and bilious vomiting. There was a huge gas shadow occupying more than 50 % of the width of the abdomen on the plain abdominal radiograms. In two cases a colovesical fistula was detected and, there was a colovaginal fistula in the third case. Absence/duplication of the appendix vermiformis and hydrouretero-nephrosis were the associated abnormalities. Initial operations were ileostomy in two patients and cecostomy in one patient. Definitive operations were abdominoperineal pull-through with division of the fistula and tubularization of the colonic pouch.